Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, United States.
Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, United States.
Addict Behav. 2018 Oct;85:173-179. doi: 10.1016/j.addbeh.2018.06.014. Epub 2018 Jun 12.
BACKGROUND/PURPOSE: Legalization of marijuana for medical and/or recreational use in some U.S. states has increased attention to substance use and related problems. However, little attention has been paid to these phenomena among adults in families receiving Temporary Assistance for Needy Families (TANF) whose adverse life experiences may put them at elevated risk of substance use disorders (SUDs).
Data from the 2003-2014 National Survey on Drug Use and Health (NSDUH) were used to test trends in past-month binge drinking and past-year marijuana, other illicit drug, and any illicit drug use and to examine SUD prevalence and treatment correlates among adults in TANF families.
While rates of binge drinking and any illicit drug use remained steady, marijuana use increased from 15.8% in 2003/2004 to 21.6% in 2013/2014, a 36.7% increase. Increased marijuana use was strongly related to changes in marijuana risk perception. Among adults in TANF families, 19.5% of men and 10.8% of women had a past-year SUD, but only one in five received treatment. Those aged 18-25, Black or Hispanic women, and those who had children at home when surveyed were less likely to have received treatment.
Preventive efforts to address substance use, especially marijuana use, among adults in TANF families are needed. Moreover, given greater odds of unmet SUD treatment need among these economically disadvantaged adults, particularly racial/ethnic minority women and those who are in emerging adulthood, uninsured, and have children at home, measures to provide more inclusive services such as integrated behavioral health care are needed.
背景/目的：在美国的一些州，大麻的医用和/或娱乐用合法化引起了人们对物质使用和相关问题的关注。然而，对于那些接受贫困家庭临时援助（TANF）的成年人来说，他们的负面生活经历可能使他们面临更高的物质使用障碍（SUD）风险，但对这些现象关注甚少。
本研究使用了 2003-2014 年全国毒品使用与健康调查（NSDUH）的数据，以检验过去一个月酗酒和过去一年大麻、其他非法药物以及任何非法药物使用的趋势，并研究 TANF 家庭中成年人的 SUD 患病率和治疗相关性。
虽然酗酒和任何非法药物使用的比率保持稳定，但大麻使用从 2003/2004 年的 15.8%增加到 2013/2014 年的 21.6%，增长了 36.7%。大麻使用的增加与大麻风险认知的变化密切相关。在 TANF 家庭的成年人中，19.5%的男性和 10.8%的女性有过去一年的 SUD，但只有五分之一的人接受了治疗。年龄在 18-25 岁之间、黑人或西班牙裔女性，以及在调查时家中有孩子的人接受治疗的可能性较小。
需要在 TANF 家庭的成年人中开展预防物质使用（特别是大麻使用）的工作。此外，鉴于这些经济弱势群体，特别是种族/族裔少数群体女性和处于成年早期、无保险、家中有孩子的成年人，未满足 SUD 治疗需求的可能性更大，因此需要采取措施提供更具包容性的服务，例如综合行为健康护理。
